The stability of cardiometabolic risk factors clustering in children and adolescents: a 2-year longitudinal study

儿童和青少年心脏代谢危险因素聚集的稳定性:一项为期 2 年的纵向研究

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作者:João Francisco de Castro Silveira, Ana Paula Sehn, Luiza da Silva, Anelise Reis Gaya, Rodrigo Antunes Lima, Ryan Donald Burns, Lars Bo Andersen, Jane Dagmar Pollo Renner, Cézane Priscila Reuter

Conclusion

The higher the number of risk factors a child had at baseline, the higher the odds of presenting the same number of risk factors or more after two years of follow-up.

Methods

Observational longitudinal study that included 358 children and adolescents (10.96 ± 2.28 years of age at baseline). Cardiorespiratory fitness, glucose, systolic blood pressure, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, and waist circumference were assessed. The number of children in whom the risk factors were not independently distributed was analyzed. Odds ratios of presenting n risk factors clustered at follow-up according to the number of risk factors observed at baseline were calculated.

Objective

The present study aims to verify the odds of remaining with the clustering of 3 or more, 4 or more, and 5 or more risk factors across a 2-year time span.

Results

More participants than expected were found presenting clustering of 4 or more and 5 or more risk factors at both baseline (11.7% and 5.6%, respectively) and follow-up (9.5% and 5.6%, respectively). The odds ratios calculated demonstrated that the odds of presenting the same number of risk factors clustered or more at follow-up increased according to the number of risk factors clustered at baseline.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40200-022-01174-1.

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